| Lisa Mary Bishop, MS, RD, CDE | |
|
112 Quarry Rd, Suite 250, Trumbull, CT 06611-4816 | |
| (203) 371-7048 | |
| (203) 371-7066 |
| Full Name | Lisa Mary Bishop |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 43 Years |
| Location | 112 Quarry Rd, Trumbull, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205012713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 000725 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Provider Name | Northeast Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Mary Bishop, MS, RD, CDE 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4816 Ph: (203) 371-7048 | Lisa Mary Bishop, MS, RD, CDE 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4816 Ph: (203) 371-7048 |
Sara Nicole Chille, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Thomas St, Trumbull, CT 06611 Phone: 120-352-6497 | |
Miss Hanna Este Caridad, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5520 Park Ave, Trumbull, CT 06611 Phone: 203-666-3574 | |
Tara Liskov, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 999 Silver Ln, Suite 2a, Trumbull, CT 06611 Phone: 203-386-0044 Fax: 203-377-4156 | |
Lie Handali, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 Technology Dr, Suite 107b, Trumbull, CT 06611 Phone: 120-326-8223 Fax: 120-326-8914 | |
Jaycie Deleon Perez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6515 Main St, 1st Floor, Suite #6, Trumbull, CT 06611 Phone: 203-680-0583 | |
Lisa Coontz, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5520 Park Ave, Trumbull, CT 06611 Phone: 203-666-3574 |